Clin Med Buzzwords Flashcards

1
Q

Asterixis

A

Hepatic encephalopathy: think hepatitis or cirrhosis

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2
Q

Cullen sign

A

Pancreatitis

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3
Q

Murphy’s sign

A

Cholecystitis

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4
Q

Rovsing’s sign

A

Appendicitis

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5
Q

Shifting dullness

A

Ascites (cirrhosis)

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6
Q

Dry cough

A

GERD

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7
Q

Intermittent epigastric pain, worse with eating

A

Gastric ulcer

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8
Q

Intermittent epigastric pain, worse in morning on empty stomach

A

Duodenal ulcer

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9
Q

RUQ pain, radiating to back

A

Pancreas

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10
Q

Pain by location: RUQ

A

Gallstones
Stomach ulcer
Pancreatitis (esp radiating to back)

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11
Q

Pain by location: epigastric

A
Stomach ulcer
Gallstones
Pancreatitis
GED
Epigastric hernia

(Cardiac causes)

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12
Q

Pain by location: LUQ

A

Stomach/duodenal ulcer
Pancreatitis (more commonly RUQ)
Biliary colic

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13
Q

Pain by location: Right periumbilical

A

Constipation

UTI, kidney stones

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14
Q

Pain by location: periumbilical

A
Early appendicitis
Stomach ulcer
IBS
Umbilical hernia
Pancreatitis (on test will likely be RUQ)
Bowel obstruction/ischemia 
AAA
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15
Q

Pain by location: Left periumbilical

A

Diverticulitis
Constipation
IBS

(Kidney stones)

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16
Q

Pain by location: RLQ

A

Appendicitis (later stage)
Constipation

R/O all ob/gyn causes

17
Q

Pain by location: Suprapubic

A

IBS
Diverticulitis
Appendicitis (on test likely umbilical then RLQ)

R/O ob/gyn causes; r/o UTI

18
Q

Pain by location: LLQ

A

Diverticulitis

R/O ob/gyn causes

19
Q

Asthma/allergy + Dysphagia

A

Eosinophilic esophagitis

20
Q

Traveler presenting with hepatomegaly/jaundice/pruritus

A

Hep A

21
Q

RLQ pain

A

Appendicitis

22
Q

LLQ pain

A

Diverticulitis

23
Q

RUQ pain + steatorrhea

A

Consider chronic pancreatitis

24
Q

Pancreatic calcifications

A

Chronic pancreatitis

25
Q

Ribbon-like stool

A

Alarm sign for cancer (could also be caused by IBS or IBD)

26
Q

Coffee Bean Sign

A

Volvulus

27
Q

Target sign

A

Intussusception

On US

28
Q

Pseudo-kidney sign

A

Intussusception

On US

29
Q

Currant Jelly Stools

A

Intussuusception (late sign)

30
Q

Bilious emesis

A

Surgical emergency until proven otherwise

Assumed to be malrotation with volvulus until it can be r/o.

31
Q

Tinkling on auscultation

A

Consider bowel obstruction

32
Q

5 patients who should NOT get an NGT/OGT

A
  • Maxillofacial trauma
  • Inability to protect airway
  • Known strictures
  • Known varices (not a CI, but sure need to be careful)
  • Known caustic agent ingestion